Traci J Van Gorden, CFNP | |
104 S Lakeview Ave, Sturgis, MI 49091-1947 | |
(269) 319-8850 | |
(269) 464-0101 |
Full Name | Traci J Van Gorden |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 22 Years |
Location | 104 S Lakeview Ave, Sturgis, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679513451 | NPI | - | NPPES |
4888010 | Medicaid | MI | |
4887990 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704252117 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hometown Urgent Care Of Michigan Pc | 8123270840 | 190 |
Entity Name | Hometown Urgent Care Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095 |
Entity Name | Epmg Southern Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336607126 PECOS PAC ID: 0941536114 Enrollment ID: O20190725001424 |
Entity Name | Revolution Health Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366091670 PECOS PAC ID: 2264865633 Enrollment ID: O20191126001789 |
Mailing Address | Practice Location Address |
---|---|
Traci J Van Gorden, CFNP 104 S Lakeview Ave, Sturgis, MI 49091-1947 Ph: (269) 319-8850 | Traci J Van Gorden, CFNP 104 S Lakeview Ave, Sturgis, MI 49091-1947 Ph: (269) 319-8850 |
Laura Bednar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 Fax: 269-464-0101 | |
Laura N Rysso, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 Fax: 269-464-0101 | |
Mrs. Carol Lynn Sharp, R.N. / OGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Lakeview St, Suite 207, Sturgis, MI 49091 Phone: 269-659-4646 Fax: 269-651-2210 | |
Mrs. Nancy Jane Haylett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091 Phone: 269-659-1744 | |
Stacy Lynn Sharp, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 | |
Sharon Myers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 S Lakeview Ave, Sturgis, MI 49091 Phone: 269-319-8850 | |
Mrs. Jennifer D Bickle, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1717 E Chicago Rd, Suite 2, Sturgis, MI 49091 Phone: 269-659-1471 |